immunosuppressant agents and chemotherapy Flashcards
dexamethasone
prednisone
methylprednisolone
steroids
decrease the normal immune system response, decrease inflammation
asthma, pulmonary diseases
spinal cord injury cerebral trauma (stroke)
Mycophenolate mofetil
prevention and rejection
cyclosporine
most common for prevention of rejection
only narrow therapeutic level draw a througth
tracrolimus
prevention of rejection
moromonab CD3
treat on going rejection
organ rejection
SE of drugs Hypertension moderate to severe tremors, nephrotoxity, gingerval hyperplacia (overwrowth of he gums
TDaP
Flu vaccine
Meningococcal vaccine
provide immunity
timeline for administration based on agent or disease
antivenin
digoxin immune Fab
RH(D) immunoglobulin
agent formulated with immunoglobulin from humans or animals. They bypass host immune system to provide antibodies stat, provide treatment prevent disease or illness with exposure.
bevacizumab
angiogenetic inhbitor
attacks angiogenesis (new blood vessel network) to destroy cancer cells
methotrexate
antimetabolites
Substitutes for folic acid, purine, or pyrimidine AND. Inhibits enzymes critical in synthesis. Results in decrease synthesis of DNA, RNA.
USE: solid tumors– in the neck, head, liver
hematologic cancers– in the blood
autoimmune processes–RA
give drug with Leucovorin
paclitaxel
Mitotic inhibitors
before or during mitosis to decrease cell division, by producing nonfunctional parts of cells.
Uses: solid tumors– in the neck, head, liver
hematologic cancer—in the blood
topotecan
Topoisomerase inhibitors
Binds to DNA to topoisomerase 1 complex to impair relegation of DNA strand leads DNA strand to break.
USE: ovarian, colorectal cancer
cisplatin
alkylating agents
alters cell’s DNA. the alkyl group attaches to DNA molecules and prevents correct bond
USE: combination chemotherapy treatment
doxorubicin
cytotoxic antibiotics
inserts between two DNA strands DNA helix becomes unstable, blocks synthesis
USE: solid tumors, hematologic cancers
general effects of cancer drugs
Nausea, vomiting, hair loss, fever, malaise, fatigue,
Renal damage, bone marrow suppression.